Provider Demographics
NPI:1255486668
Name:NAUGHTON, SUSAN D (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:D
Last Name:NAUGHTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:D
Other - Last Name:NAUGHTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5 HAKES RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-6924
Mailing Address - Country:US
Mailing Address - Phone:518-279-1454
Mailing Address - Fax:
Practice Address - Street 1:1311 UNION STREET
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308
Practice Address - Country:US
Practice Address - Phone:518-374-6263
Practice Address - Fax:518-374-1778
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO339791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical